Methods and compositions for use in treatment of patients with autoantibody positive disease

a technology for autoantibody positive patients and compositions, applied in the field of methods and compositions for treating patients with autoantibody positive disease, can solve the problems of accumulating symptoms, no one laboratory test that can definitively diagnose lupus, and difficulty in correctly diagnosing lupus patients and patients with other similar diseases, etc., to reduce the frequency and/or quantity of corticosteroids, and reduce the frequency and/or quantity of cortico

Inactive Publication Date: 2009-03-26
HUMAN GENOME SCI INC
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  • Summary
  • Abstract
  • Description
  • Claims
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Benefits of technology

[0016]In another embodiment, the present invention provides a method of reducing the frequency and / or quantity of corticosteroid administered to a patient that has an ANA titer of 1:80 or greater and / or greater than or equal to 30 IU / mL of anti-dsDNA antibodies in his / her blood plasma or serum comprising administering a therapeutically effective amount of an immunomodulatory agent.
[0017]In a specific embodiment, the invention provides a method of reducing the frequency and / or quantity of corticosteroid administered to a patient with Sjögren's Syndrome that has an ANA titer of 1:80 or greater and / or greater than or equal to 30 IU / mL of anti-dsDNA antibodies in his / her blood plasma or serum comprising administering a therapeutically effective amount of an immunomodulatory agent. In another specific embodiment, the invention provides a method of reducing the frequency and / or quantity of corticosteroid administered to a patient with Sjögren's Syndrome that has an ANA titer of 1:80 or greater and / or greater than or equal to 30 IU / mL of anti-dsDNA antibodies in his / her blood plasma or serum comprising administering a therapeutically effective amount of an antagonist of Neutrokine-alpha.
[0018]In a specific embodiment, the invention provides a method of reducing the frequency and / or quantity of corticosteroid administered to a patient with rheumatoid arthritis that has an ANA titer of 1:80 or greater and / or greater than or equal to 30 IU / mL of anti-dsDNA antibodies in his / her blood plasma or serum comprising administering a therapeutically effective amount of an immunomodulatory agent. In another specific embodiment, the invention provides a method of reducing the frequency and / or quantity of corticosteroid administered to a patient with rheumatoid arthritis that has an ANA titer of 1:80 or greater and / or greater than or equal to 30 IU / mL of anti-dsDNA antibodies in his / her blood plasma or serum comprising administering a therapeutically effective amount of an antagonist of Neutrokine-alpha.
[0020]In a further embodiment, the invention provides a method of reducing the quantity of corticosteroid administered to a patient that has an ANA titer of 1:80 or greater and / or greater than or equal to 30 IU / mL of anti-dsDNA antibodies in his / her blood plasma or serum is reduced by at least 25% to ≦7.5 milligrams / day. In a specific embodiment, the corticosteroid is selected from the group consisting of prednisone, prednisolone, hydrocortisone, methylprednisolone and dexamethasone. In a further specific embodiment, the corticosteroid is prednisone. In another embodiment, a method of reducing the frequency and / or quantity of corticosteroid administered to a patient with an autoimmune disease comprising administering a therapeutically effective amount of an anti-Neutrokine-alpha antibody is provided.

Problems solved by technology

Thus, in practice, it is often difficult to correctly diagnose lupus patients and patients with other similar disease.
Additional factors that lead to difficulty in diagnosing lupus disease include the fact that the disease does not develop rapidly; rather, patients gradually accumulate symptoms over time.
Finally, there is no one laboratory test that will definitively diagnose lupus.

Method used

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  • Methods and compositions for use in treatment of patients with autoantibody positive disease

Examples

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example 1

Summary of Results from a Clinical Trial Testing the Use of an Antibody (Belimumab) that Neutralizes Neutrokine-Alpha Protein to Treat Systemic Lupus Erythematosus (SLE)

[0563]A prospective, randomized, double-blind, placebo-controlled trial tested belimumab, an antibody that neutralizes Neutrokine-alpha protein, added to standard of care therapy for SLE. 449 subjects with SLE by ACR criteria (Tan et al., Arthritis Rheum. 25:1271-7, (1982); and Hochberg et al., Arthritis Rheum. 40:1725, (1997)), with a history of measurable autoantibodies and SELENA SLEDAI score≧4 at screening were dosed.

[0564]Study agent (1, 4, 10 mg / kg belimumab) or placebo was administered intravenously on days 0, 14, 28 then every 28 days over 52 weeks. Subjects who completed the 52-week treatment period were given the option to continue the study for a 24-week extension period. Belimumab was formulated in 10 mM sodium citrate, 1.9% glycine, 0.5% sucrose, 0.01% (w / v) polysorbate 80, pH 6.5 (±0.3). Subjects receiv...

example 2

Scoring Proteinuria for SELENA SLEDAI

[0571]Kidney malfunction is often associated with Systemic lupus erythematosus. One of skill in the art would be aware of a variety of standard measures that can be used to assess kidney function, for example, progression to end-stage renal disease, sustained doubling of serum creatinine, creatinine clearance, iothalamate clearance, protein concentration in a single urine sample and protein concentration in a 24-hour urine sample.

[0572]Changes in proteinuria calculated from “24 hour urine samples” is one of the categories scored in the SELENA SLEDAI. Proteinuria measurements may be performed by any method known in the art. In a specific embodiment, a single urine specimen is collected and the amount of protein and / or creatinine clearance is measured, see, for example, Lemann, et al., Clin Chem., 33:297-9, 1987. and Schwab, et al., Arch Intern Med., May; 147(5):943-4, 1987. In a specific embodiment, urine is collected over 24 hours and the amount ...

example 3

Summary of Results from a Clinical Trial Testing the Use of an Antibody (Belimumab) that Neutralizes Neutrokine-Alpha Protein to Treat Rheumatoid Arthritis (RA)

[0576]A Phase 2, multi-center, randomized, double-blind, placebo-controlled study was performed in subjects with RA. Subjects were randomized into 4 treatment groups (placebo, 1 mg / kg, 4 mg / kg and 10 mg / kg). Belimumab or placebo was administered at doses of 1, 4 and 10 mg / kg on Days 0, 14 and 28 and every 28 days thereafter for 24 weeks, followed by an optional 24-week extension period. Belimumab was formulated in 10 mM sodium citrate, 1.9% glycine, 0.5% sucrose, 0.01% (w / v) polysorbate 80, pH 6.5 (±0.3). Subjects receiving placebo dose received the formulation (10 mM sodium citrate, 1.9% glycine, 0.5% sucrose, 0.01% (w / v) polysorbate 80, pH 6.5 (±0.3) without belimumab. A total of 283 subjects participated in the study. Belimumab was administered to 214 subjects at doses of 1, 4, or 10 mg / kg during the 24-week treatment phas...

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Abstract

The present invention relates to methods and compositions for use in treatment of patients with autoantibody positive disease. In a specific embodiment, the present invention relates to a method of treating a patient that has an ANA titer of 1:80 or greater and / or greater than or equal to 30 IU / ml of anti-dsDNA antibodies in his / her blood plasma or serum comprising administering a therapeutically effective amount of an immunomodulatory agent, such as an antagonist of Neutrokine-alpha. Additionally provided is a method of reducing the frequency and / or quantity of corticosteroid administration to patients. In preferred embodiments, the patient has systemic lupus erythematosus. Methods for determining if a lupus patient is responding to medical treatment are also provided.

Description

RELATED APPLICATIONS[0001]This patent application is a divisional of copending U.S. patent application Ser. No. 11 / 543,024, filed Oct. 5, 2006, which is currently pending. This application claims the benefit of U.S. Provisional Application No. 60 / 725,625, filed Oct. 13, 2005, and U.S. Provisional Application No. 60 / 735,967, filed Nov. 14, 2005, and U.S. Provisional Application No. 60 / 776,664, filed Feb. 27, 2006, and U.S. Provisional Application No. 60 / 781,387, filed Mar. 13, 2006, and U.S. Provisional Application No. 60 / 787,557, filed Mar. 31, 2006, and U.S. Provisional Application No. 60 / 797,360, filed May 4, 2006, and U.S. Provisional Application No. 60 / 814,870, filed Jun. 20, 2006, and U.S. Provisional Application No. 60 / 815,558, filed Jun. 22, 2006, and U.S. Provisional Application No. 60 / 815,827, filed Jun. 23, 2006, and U.S. Provisional Application No. 60 / 834,150, filed Jul. 31, 2006, and U.S. Provisional Application No. 60 / 725,626, filed Oct. 13, 2005, and U.S. Provisional A...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K39/395A61P43/00
CPCA61K38/185A61K2039/505A61K2039/507C07K2317/56C07K16/2875C07K2316/96C07K14/70575C07K2317/73A61P17/00A61P19/02A61P19/04A61P21/00A61P29/00A61P37/00A61P37/02A61P37/06A61P43/00A61P7/00A61P9/08A61K38/19A61K39/395
Inventor CHEVRIER, MARCFREIMUTH, WILLIAM W.ZHONG, ZHENSHAOODENHEIMER, DANIELPERKINS, MELISSA D.
Owner HUMAN GENOME SCI INC
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